|
MRA ext low(run-off)pst cntrst
|
$636.75 |
$636.75 |
$636.75 |
$2,564.48
|
|
MRA pelvis
|
$537.15 |
$537.15 |
$537.15 |
$2,237.75
|
|
MRA pelvis w IV cont
|
$636.75 |
$636.75 |
$636.75 |
$1,584.50
|
|
MRA pelvis wo IV cont
|
$537.15 |
$537.15 |
$537.15 |
$1,565.72
|
|
MRA spinal canal
|
$537.15 |
$537.15 |
$537.15 |
$1,994.20
|
|
MRA w/cont, abd
|
$604.95 |
$604.95 |
$604.95 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$636.75 |
$636.75 |
$636.75 |
$1,691.95
|
|
Mra, w/dye, spinal canal
|
$537.15 |
$537.15 |
$537.15 |
$537.15
|
|
Mra, w/dye, upper extremity
|
$537.15 |
$537.15 |
$537.15 |
$885.06
|
|
MRA without cont, abd
|
$636.75 |
$636.75 |
$636.75 |
$1,764.03
|
|
MRA without cont, lwr ext
|
$537.15 |
$537.15 |
$537.15 |
$1,656.00
|
|
Mra, without dye, spinal canal
|
$537.15 |
$537.15 |
$537.15 |
$632.97
|
|
Mra, without dye, upper extr
|
$537.15 |
$537.15 |
$537.15 |
$765.60
|
|
MRA without fol w/cont, abd
|
$668.55 |
$668.55 |
$668.55 |
$2,561.65
|
|
MRA without fol w/cont, lwr ext
|
$668.55 |
$668.55 |
$668.55 |
$2,299.58
|
|
MRA without fol w/cont, pelvis
|
$659.55 |
$659.55 |
$659.55 |
$2,356.90
|
|
Mra, w/o&w/dye, spinal canal
|
$537.15 |
$537.15 |
$537.15 |
$715.00
|
|
Mra, w/o&w/dye, upper extr
|
$537.15 |
$537.15 |
$537.15 |
$1,192.78
|
|
MRI breast c- unilateral
|
$636.75 |
$636.75 |
$636.75 |
$1,084.20
|
|
MRI breast c-+ w/cad uni
|
$702.00 |
$702.00 |
$702.00 |
$1,704.95
|
|
MRI breast without cont bi
|
$668.55 |
$668.55 |
$668.55 |
$1,796.20
|
|
MRI breast w IV cont bi
|
$737.10 |
$737.10 |
$737.10 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$636.75 |
$636.75 |
$636.75 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$668.55 |
$668.55 |
$668.55 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$664.80 |
$664.80 |
$664.80 |
$2,499.60
|
|
MRI chest without contrast
|
$604.95 |
$604.95 |
$604.95 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$668.55 |
$668.55 |
$668.55 |
$2,652.73
|
|
MRI chest w IV cont
|
$636.75 |
$636.75 |
$636.75 |
$2,210.00
|
|
MRI fetal ea addl gestation
|
$538.20 |
$538.20 |
$538.20 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$897.00 |
$897.00 |
$897.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$537.15 |
$537.15 |
$537.15 |
$1,264.76
|
|
MRI guid parenchymal tiss ablation
|
$537.15 |
$537.15 |
$537.15 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$971.40 |
$971.40 |
$971.40 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$679.80 |
$679.80 |
$679.80 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$668.55 |
$668.55 |
$668.55 |
$2,869.44
|
|
MRI orbit/face/neck without contrast
|
$604.95 |
$604.95 |
$604.95 |
$1,887.60
|
|
MRI orbit/face/neck without & w/contrast
|
$668.55 |
$668.55 |
$668.55 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$636.75 |
$636.75 |
$636.75 |
$2,176.20
|
|
MRI tmj
|
$636.75 |
$636.75 |
$636.75 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$636.75 |
$636.75 |
$636.75 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$668.55 |
$668.55 |
$668.55 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$971.40 |
$971.40 |
$971.40 |
$2,022.80
|
|
MRI without fol w/cont, breast
|
$668.55 |
$668.55 |
$668.55 |
$2,246.40
|
|
MRI without fol w/cont, brst, un
|
$636.75 |
$636.75 |
$636.75 |
$1,610.50
|
|
Mr safety determination physician/other qhp
|
$39.90 |
$39.90 |
$39.90 |
$160.20
|
|
Mr safety implant elec prepj
|
$39.45 |
$39.45 |
$39.45 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$5.55 |
$5.55 |
$5.55 |
$57.90
|
|
Mr safety implt pos&/immoblj
|
$25.65 |
$25.65 |
$25.65 |
$120.35
|
|
Mr sfty implt&/fb asmt stf 1
|
$11.10 |
$11.10 |
$11.10 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$104.10 |
$104.10 |
$104.10 |
$439.80
|
|
Mr spectroscopy
|
$537.15 |
$537.15 |
$537.15 |
$1,375.50
|
|
Msh2 gene dup/delete variant
|
$119.10 |
$119.10 |
$119.10 |
$427.20
|
|
Msh2 gene full seq
|
$2,311.95 |
$2,311.95 |
$2,311.95 |
$764.00
|
|
Msh2 gene known variants
|
$166.20 |
$166.20 |
$166.20 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$127.20 |
$127.20 |
$127.20 |
$476.00
|
|
Msh6 gene full seq
|
$2,599.35 |
$2,599.35 |
$2,599.35 |
$1,212.60
|
|
Msh6 gene known variants
|
$207.00 |
$207.00 |
$207.00 |
$369.60
|
|
Mthfr gene analy common variants
|
$76.35 |
$76.35 |
$76.35 |
$167.12
|
|
M.tuberculo dna dir probe
|
$18.75 |
$18.75 |
$18.75 |
$58.40
|
|
Mucin synovial fluid
|
$10.20 |
$10.20 |
$10.20 |
$33.57
|
|
Mucopolysaccharides
|
$34.95 |
$34.95 |
$34.95 |
$178.36
|
|
Multiple sleep latency test
|
$338.40 |
$338.40 |
$338.40 |
$2,499.90
|
|
Mumps antibody igg
|
$22.80 |
$22.80 |
$22.80 |
$79.95
|
|
Muscle test cran nerv unilat
|
$71.55 |
$71.55 |
$71.55 |
$385.07
|
|
Muscle test hemidiaphragm
|
$71.55 |
$71.55 |
$71.55 |
$296.40
|
|
Muscle test larynx
|
$55.20 |
$55.20 |
$55.20 |
$296.80
|
|
Mycobacteria dna dir probe
|
$18.75 |
$18.75 |
$18.75 |
$64.80
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.52 |
$1.52 |
$1.52 |
$10.79
|
|
Mycoplasma antibody igm
|
$23.10 |
$23.10 |
$23.10 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$225.00 |
$225.00 |
$225.00 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$223.65 |
$223.65 |
$223.65 |
$1,490.40
|
|
Myelography l-s spine
|
$203.55 |
$203.55 |
$203.55 |
$1,334.09
|
|
Myelography neck spine
|
$205.50 |
$205.50 |
$205.50 |
$1,241.00
|
|
Myelography thoracic spine
|
$205.50 |
$205.50 |
$205.50 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$406.65 |
$406.65 |
$406.65 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$406.65 |
$406.65 |
$406.65 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$406.65 |
$406.65 |
$406.65 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$406.65 |
$406.65 |
$406.65 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$19.95 |
$19.95 |
$19.95 |
$136.50
|
|
Myocrd img pet 1std rst/strs
|
$1,187.10 |
$1,187.10 |
$1,187.10 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$582.30 |
$582.30 |
$582.30 |
$3,249.60
|
|
Myocrd img pet 2rtracer
|
$1,967.85 |
$1,967.85 |
$1,967.85 |
$3,840.76
|
|
Myocrd img pet 2rtracer CT
|
$2,164.50 |
$2,164.50 |
$2,164.50 |
$5,006.40
|
|
Myocrd img pet mlt rst&strs
|
$1,282.05 |
$1,282.05 |
$1,282.05 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$1,410.90 |
$1,410.90 |
$1,410.90 |
$4,564.92
|
|
Myocrd img pet rst/strs w/ct
|
$664.50 |
$664.50 |
$664.50 |
$3,311.85
|
|
Nalbuphine 10 mg/ml injection solution
|
$15.46 |
$15.46 |
$15.46 |
$38.69
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$227.43 |
$227.43 |
$227.43 |
$70.87
|
|
Nasopharyngoscopy w/endoscope
|
$79.80 |
$79.80 |
$79.80 |
$282.72
|
|
Natriuretic peptide
|
$59.40 |
$59.40 |
$59.40 |
$176.15
|
|
Natural killer cells total count
|
$66.00 |
$66.00 |
$66.00 |
$132.60
|
|
N block inj hypogas plxs
|
$528.90 |
$528.90 |
$528.90 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$71.85 |
$71.85 |
$71.85 |
$204.82
|
|
Ndl round specialty proguide
|
$25.50 |
$25.50 |
$25.50 |
$368.94
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,711.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,506.05
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$2,005.26
|